Individual provider Active NPI

James Eugene Jennings, MD

  • Anesthesiology Physician
  • Longmont, CO
National Provider Identifier
1962436055
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
40425 Issued in CO
Practice address
1181 Wyndemere Cir
Longmont, CO 80501-2321
Phone
(303) 651-5111
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40425 CO
Anesthesiology Physician 207L00000X 40425 CO Primary

Addresses

Primary practice location

1181 Wyndemere Cir
Longmont, CO 80501-2321

Mailing address

5406 Cannon Mountain Way
Longmont, CO 80503-2704
Phone (303) 812-2288

Other identifiers 1

IdentifierTypeStateIssuer
81105819MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019001111 CO Practitioner - Anesthesiology 5294751145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caw Anesthesia PLLCGroup PAC ID 6800337312, 4 clinicians

Practice addresses (Care Compare)

1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone (303) 772-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40425COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caw Anesthesia, PLLC Anesthesiology CurrentSince Mar 20, 2024 Accepting new patients
James E Jennings MD PC Anesthesiology CurrentSince Jan 29, 2013 Accepting new patients
Douglas C Mitchell MD Professional Anesthesiology Past Accepting new patients

Locations

1610 Dry Creek Dr
Longmont, CO 80503
Phone (720) 494-4750

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1962436055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 CANNON MOUNTAIN WAY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032704",
            "telephone_number": "303-812-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 WYNDEMERE CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012321",
            "telephone_number": "303-651-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JAMES",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "40425",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "40425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81105819",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.